Gentilli S, Ferrero A, Velardocchia M, Garavoglia M
Department of Clinical Physiopathology, University of Torino, Italy.
Surg Laparosc Endosc. 1998 Oct;8(5):335-7.
Laparoscopic adrenalectomy still presents some technical problems. The impossibility of directly grasping the gland is the main difficulty. To overcome this problem, we have begun to use an atraumatic suction grasper. From September 1995 to December 1997, 15 laparoscopic adrenalectomies were performed. Group 1 comprised 8 patients operated on without the atraumatic suction grasper; group 2 consisted of 7 patients who underwent a laparoscopic adrenalectomy with the use of this new device. The surgical technique with the use of an atraumatic suction grasper is described. No significant difference was noted between the two groups except in the operative time, which was reduced in group 2, and in the surgeon's comfort. The reported advantages are a direct grasp of the adrenal gland without the risk of squeezing, rupture, or bleeding; a better exposure of the adrenal vessels; and shorter operating time.
腹腔镜肾上腺切除术仍然存在一些技术问题。无法直接抓取腺体是主要困难。为克服这一问题，我们已开始使用无创伤吸引抓钳。1995年9月至1997年12月，共进行了15例腹腔镜肾上腺切除术。第1组包括8例未使用无创伤吸引抓钳进行手术的患者；第2组由7例使用这种新器械进行腹腔镜肾上腺切除术的患者组成。本文描述了使用无创伤吸引抓钳的手术技术。除了手术时间（第2组缩短）和术者舒适度外，两组之间未发现显著差异。所报道的优点包括可直接抓取肾上腺腺体而无挤压、破裂或出血风险；能更好地暴露肾上腺血管；以及缩短手术时间。
